RE-INTEGRATION

A. 100% patients/clients provided with MHPSS Provided MHPSS to patients N/A 5.0 5.0 5.0
B.100% clients counseled on proper nutrition Conducted Nutrition Month and counselled patient, on proper nutrition N/A 5.0 5.0 5.0
C.100% clients provided health education on health protocols Provided health education on health protocols N/A 5.0 5.0 5.0
OTHER PROGRAMS
A. SERVICE DELIVERY NETWORK
Assisted pt. on prenatal services, family planning, Vit. A supplementation, exclusive BF
1. MNCHN counseling,FBD, & FIC
N/A 5.0 5.0 5.0

2. EPI Conducted and Assisted EPI 1x a Month N/A 5.0 5.0 5.0
3. NON-COMMUNICABLE

a. MHPSS Provided services to patient under MHPSS timely N/A 5.0 5.0 5.0
b. PHILPEN Provided services to patient enrolled and newly enrolled N/A 5.0 5.0 5.0
c. NVBSP Blood Donation Program every Foundation day N/A 5.0 5.0 5.0
4. COMMUNICABLE

a. TB Catared/provided services to patient for TB-DOTS Program N/A 5.0 5.0 5.0
b. HIV Health Awareness conducted every month N/A 5.0 5.0 5.0
c. Dengue Dengue Surveillance and advocacy every month N/A 5.0 5.0 5.0
d. Rabies Provided services to patients for ARV N/A 5.0 5.0 5.0
B. GOVERNANCE
1. Barangay Health Board N/A 5.0 5.0 5.0
Ensure relevant policies/guidelines cascaded to
barangay assignment a. Total number of functional barangay health board meetings conducted Conducted BHB Meeting every month N/A 5.0 5.0 5.0

b. Total number of local policies passed Passed 18 local policies N/A 5.0 5.0 5.0
C. HEALTH INFORMATION
Submission of monitoring reports 1. Health facility mapping Made and passed health facility mapping N/A 5.0 5.0 5.0
2. COVID-related reports submitted Submitted COVID reports daily and timely N/A 5.0 5.0 5.0

Average Rating (Core Functions): N/A

Support Functions
N/A 0.00
(please indicate other functions in your area of assignment) N/A 0.00
Average Rating (Support Functions): N/A 0.0 0.0 0.00
RATING

Final Rating per

Function
Average Rating
Function Percentage Distribution (Average Rating Remarks
per Function
x Percentage
Distribution)
Core Functions 80% 5.00 4.00
20%
Support Functions 0.00 0.00
(20% if no strategic indicators)
0%
Strategic Functions
(0 if no strategic indicators)
Final Average Rating (i) 4.00
Adjectival Rating (j) VS
Comments and Recommendation for Development Purposes
Discussed With: Assessed by: Date Final Rating by: Date
I certify that I discussed my assessment of the perfomance with the
employee

PAPIA S. LAURENTE, RM,RN,MAN

RESIE A. PEDERICOS, RN ANTONIO O. IDA, MD,MPH
NDP Development Management Officer IV DMO V - Provincial DOH Officer-North Leyte
Legend: 1- Quality 2 -Efficiency 3 - Timeliness 4 - Average